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Insulin Aspart
Novolog
Novolog is an FDA-approved, fast-acting medication that is used to manage high blood sugar in adults and children with type 1 and type 2 diabetes mellitus. It contains insulin aspart, which is a man-made insulin that facilitates quick absorption and starts to work swiftly within 5 to 10 minutes of injection. It is available in various forms and strengths, including a 10 ml vial and 3 ml PenFill, FlexPen, and FlexTouch options. The medication dosage depends upon the patient’s age, condition, needs, and how the patient’s body responds to the treatment. Novolog is not recommended for use during episodes of hypoglycemia and in patients who have a known hypersensitivity to Novolog or any of its excipients. If you have any query or concern regarding the medication, consult your doctor or healthcare provider and follow their guidance to safely and efficiently use Novolog. You can use our Novolog insulin pen coupon if you want to buy insulin aspart at low prices.
Product Overview
NovoLog (insulin aspart) is a rapid-acting insulin analog designed to manage hyperglycemia in individuals with type 1 and type 2 diabetes mellitus. It is crucial in lowering mealtime blood sugar spikes, ensuring better glycemic control. The main ingredient, insulin aspart, is structurally similar to naturally occurring insulin, facilitating quick absorption and rapid action, usually within 5 to 10 minutes of administration.
NovoLog is available in various forms and strengths, including a 10 ml vial and 3 ml PenFill, FlexPen, and FlexTouch options. It is recommended for adults and children with diabetes, with dosages tailored to individual needs. The usual daily dose for type 1 diabetes ranges from 0.2 to 1 unit/kg, while for type 2 diabetes, it starts at 0.1 units/kg or ten units/day. Administration is subcutaneous, typically 5 to 10 minutes before a meal.
Common side effects include injection site reactions, weight gain, and hypoglycemia. Patients should exercise caution, especially regarding hypoglycemia, and adhere to proper injection techniques and regular blood glucose monitoring. In case of a missed dose, take it as soon as possible, but do not double up doses. Store unopened NovoLog in the refrigerator and open pens at room temperature, away from direct heat and light. Always consult a healthcare professional for personalized guidance and dosage adjustments.
What Are the Uses of NovoLog?
Targeted Treatment
It manages hyperglycemia in individuals with type 1 and type diabetes mellitus.
Benefits
- It helps in lowering mealtime blood sugar spikes in individuals with diabetes.
- It controls high blood sugar levels in adults and children with diabetes.
[Note: Do not take Novolog without consulting your doctor. They will determine whether you need this medication based on your conditions.]
What Are the Forms & Strengths of NovoLog?
Novolog is available in the following forms and strengths:
Form: vial
Strength: 10 ml
Form: PenFill
Strength: 3 ml
Form: NovoLog FlexPen
Strength: 3 ml
Form: NovoLog FlexTouch
Strength: 3 ml
What Is the Recommended Dosage of NovoLog?
The recommended dosage for Novolog or Novorapid can vary depending on factors including the age, medical condition & needs of the patient. The dosage mentioned below is generalized. If your doctor has prescribed you a medication that is different from the dose mentioned below, then you should follow their instructions and not make dosage alterations without consulting them, as it can cause unwanted side effects.
Type 1 Diabetes Mellitus
Recommended daily dose: 0.2-0.6 units/kg/day in divided doses.
Maintenance dose: it is usually between 0.5 and 1 unit/kg/day
Conservative doses: 0.2-0.4 unit/kg/day
Pediatric dose: 0.8-1.2 units/kg/day SC
Type 2 Diabetes Mellitus
Subcutaneous dose: 0.1-0.2 units/kg/day or ten units/day 10-15 minutes before a meal.
[Note: Remember, these recommendations may vary from person to person. Discuss it with your doctor, and they’ll customize your dosage accordingly.]
How to Use NovoLog?
Before using the NovoLog Novorapid Flexpen for the first time, and each time you get a refill, you should carefully read and follow the directions in the patient information leaflet that came along with the prescription and medication guide, if available. If you have difficulty understanding the leaflet or if you have any queries regarding its use, ask your doctor or healthcare professional. Before using it, your doctor will show you how to administer it properly. You should ensure that you and your caregiver understand it.
- Novolog is a rapid-acting insulin, so eating a meal within 5 to 10 minutes of taking it is essential.
- Before using, ensure you have the correct form and insulin dose.
- The medication dosage is based on the medical condition being treated. You should measure every dose very carefully, as even small changes in the insulin amount can affect the levels of your blood levels.
- Check your blood glucose levels on a regular basis and share the report with your doctor.
- Do not reuse your needles. Discard it safely after every use.
- Rotate the injection spot after each injection to avoid pits and lumps forming under your skin.
- Do not inject into skin that is torn, red, damaged, stiff, tender, and has stretch marks.
- The best sites to inject the injection subcutaneously are the abdomen, upper arm, buttocks, and front thigh.
- Do not inject the insulin into muscles or veins. Only a healthcare professional should administer the insulin intravenously.
- If you are using an insulin pump, do not dilute Novolog. Before using it with the infusion pump, you should read and follow the instructions carefully, and if you have any questions, feel free to ask your doctor. They will show you how to administer it safely.
- You can mix Novolog with certain other insulin medications, such as the NPH insulin. Always draw Novorapid into the syringe first, then follow with the basal insulin. You should never inject an insulin mixture into the vein. Speak to your doctor to discuss the proper method for mixing insulin & the proper way to inject the insulin mixture.
- Do not change the insulin type or brand without consulting your doctor.
- You should never share your insulin pen device with other people, even if the needle is changed. There is an increased risk of transmission of a serious infection from one person to another.
- Check the insulin for any change in appearance. Do not inject if the solution is discolored, clumpy or has particles.
- Clean your hands with soap and water before and after administering the insulin.
- Clean the injection site with rubbing alcohol and a cotton swab.
- Pinch the skin and inject Novolin as your doctor directs, typically 5-10 minutes before taking a meal.
- Keep it for 6 seconds and take it out of your skin.
- Do not rub the injection site after injecting the insulin.
- Do not inject cold insulin, as it may be painful.
- Take this medication regularly to get the best results from it.
- You should talk to your doctor if your condition does not get better or if it worsens.
[Note: Your doctor will decide the right amount for you based on your condition, following guidelines and studies on the drug. They’ll adjust it as needed over time.]
How Does Novolog Work?
Novolog contains insulin aspart, a synthetic insulin that is used at mealtimes. It starts working swiftly and helps in lowering mealtime blood sugar spikes in individuals with diabetes. You can eat within 5 to 10 minutes of administering Novolog. It provides effect for up to 3 to 5 hours of injection, with the peak effect occurring between 45 and 90 minutes post-injection. Combined with long-acting insulin, it is the most effective and has a long-lasting impact. NovoLog 70/30 provides long-term control of blood sugar. It blends protamine crystals with 70% insulin Aspart. These crystals act like protein, which delays the effects of the medication so that your insulin gets released over an entire day.
Important Safety Information for Using NovoLog
What Are the Side Effects of NovoLog?
Common side effects of Novolog: While Novolog is tolerable in most people, it can cause side effects in some users. These side effects are usually temporary and do not require medical attention. They disappear on their own within a few days or weeks as your body adjusts to the medication. However, if you are concerned about the side effects caused by this medication, you should talk to your doctor and discuss with them the ways to prevent and manage it. Common side effects of Novolog are as follows:
- Injection site reactions: These are common side effects of insulin medications that are injected under the skin. They include pain, redness, or irritation. To prevent this, you should never inject the insulin into the same skin area simultaneously and rotate the injection spot each time you administer the injection. You should also avoid injecting Novorapid into a skin area that is torn, red, or swollen.
- Weight gain: Similar to other insulin therapies, NovoLog can cause weight gain in some people. This can happen because you may continue to eat the same amount as before or if you consume more calories than you require. To manage insulin-related weight gain, you should focus on consuming a variety of food items, including fruits, veggies, lean proteins, and whole grains. If you experience significant weight gain, you should consult your doctor and ask them about your treatment plan, medications, and substitutes.
- Low blood sugar: Hypoglycemia is also a common side effect of Novolog, which can occur if you do not consume enough calories, if you do extreme physical exercise, or if you take more insulin than the prescribed dose. If you experience a pounding heartbeat, sudden extreme sweating, dizziness, or hunger, you should immediately treat it.
- Diarrhea: This side effect usually occurs when people start this medication. It is usually temporary and disappears within a few days as their bodies adjust to the insulin. You should drink lots of water and avoid spicy food to manage this. If you have persistent or severe diarrhea, get in touch with your doctor at once.
- Headache: People usually experience headaches when they start their insulin therapy with this medication or if they have recently made dosage adjustments. This will go away on its own as your body adjusts to changes in blood sugar levels. Sometimes, a headache may also include your blood sugar levels being too high or low. Talk to an expert medical practitioner if you have severe or persistent headaches.
- Nausea: People may feel nausea when starting Novolog or adjusting their dose. This usually includes a sensation of discomfort in the stomach, sometimes leading to vomiting. Nausea typically subsides as your body adapts to the insulin. Eating smaller meals more frequently and avoiding rich or greasy foods can help manage it. If the nausea persists, seek medical advice.
- Itching: Itching can occur around the injection site or all over the body as an allergic reaction. It may feel like an uncomfortable urge to scratch. You can apply soothing lotions or cold compresses to the affected area to manage it. Rotating injection sites can also help prevent irritation. If the itching is severe, you should contact a healthcare provider.
- Rash: An allergic reaction can induce a rash at the injection spot or spread throughout the body. Applying over-the-counter hydrocortisone creams or antihistamines can help manage mild rashes. If the rash worsens or becomes severe, consult a healthcare provider immediately.
Mild Side Effects of Novolog may include: Some patients may experience mild side effects while using this medication, which are not usually serious. However, if any of your symptoms worsen or become bothersome, you should talk to your doctor and report any new or worsening symptoms to them. This list is not exhaustive, and there may be other side effects.
- Mild allergic reaction: A mild hypersensitivity reaction to this medication is possible. Its symptoms may include skin rash, itching, swelling under the skin, and flushing. If you have a history of hypersensitivity reactions to insulin aspart or any active or inactive ingredients present in the product, you should not use it. However, if you experience severe allergic reactions, immediately call your doctor.
- Swelling in your arms, hands, legs, or feet: This uncommon side effect can occur because the insulin may cause your body to retain sodium and fluid. It can also happen due to an allergic reaction or edema, which occurs when fluid builds up in the tissues. People with existing heart failure or kidney problems are at an increased risk of experiencing this side effect.
- Weak muscle reflexes: This side effect is experienced due to its effect on electrolyte balance and nerve function. When blood sugar levels significantly fluctuate, it can affect the nervous system, leading to decreased muscle reflexes. If you have signs and symptoms of weak muscle reflexes, you should discuss them with your healthcare provider.
- Pain in the abdomen or chest: This can occur due to Novolog’s impact on blood sugar levels and potential fluid retention. When blood sugar levels significantly fluctuate, it can increase discomfort or pain in these areas. If you experience continuous or severe pain, consult your doctor.
- Urinary tract infection: Urinary tract infections/UTIs may occur when you have significant changes in blood sugar that can cause an environment where the bacteria can thrive, leading to infections. Experience signs and symptoms of a UTI, such as difficulty urination, frequent urges to urinate, or cloudy urination. You should get in touch with your healthcare provider or doctor to discuss the ways to treat it.
- Fungal infection in the nails: A fungal infection can cause nails to crack and crumble easily, and they may turn discolored, distorted, or thickened. It can occur due to the body’s response to the medication. If you experience signs and symptoms of a fungal infection in the nail, contact your healthcare provider.
Adverse Side Effects of Novolog may include:
- Severe Hypoglycemia: Severe hypoglycemia happens when blood sugar drops too low, often from taking too much insulin, missing meals, or intense exercise. Symptoms include sweating, dizziness, confusion, and, in severe cases, seizures or unconsciousness. If you experience any of these side effects, consume fast-acting carbs like juice or glucose tablets. You should always keep a reliable form of sugar with you and, if possible, wear an identification card that mentions your condition in case of an emergency. To prevent the risk of hypoglycemia, patients should check their levels of blood glucose at regular intervals and adjust insulin doses based on food and activity.
- Severe Allergic Reactions: Severe allergic reactions to Novolog can cause swelling, breathing difficulties, hives, or a rapid heartbeat. These serious symptoms require immediate medical attention and can become fatal if not promptly treated. Discuss any known allergies with your doctor before starting Novolog to avoid severe allergic reactions. If you have signs of serious allergic reactions, you should immediately discontinue using the medication and call your doctor or medical provider.
- Hypokalemia: Insulin therapy, including insulin aspart, can lower blood potassium levels, leading to muscle weakness, fatigue, or irregular heartbeats. Severe hypokalemia can cause dangerous heart issues. If prescribed by your doctor, monitoring potassium levels and adjusting diet or taking supplements can help manage and avoid the risk of developing this condition.
- Heart Failure: Novolog may cause or worsen existing heart failure, especially when combined with certain diabetes medications. Its symptoms may include shortness of breath, swollen legs, and fluid retention. Patients with a history of heart disease should be closely monitored while receiving treatment with this medication, and if necessary, their medication dosage can be adjusted.
[Note: This list may not cover all possible side effects. Always consult with your healthcare giver for medical advice about side effects.]
Are There Any Warnings for NovoLog?
Certain warnings should be considered while using Novolog to treat your condition to ensure its safe and efficient use.
- Do not drive, operate heavy machinery or indulge in activities that require your concentration unless you determine how this medication affects you.
- Do not consume alcohol or take any medicine that contains alcohol alongside Novolog.
- Do not change your brand, type and dosage of insulin without consulting your doctor, as it may cause unwanted side effects.
- Hypoglycemia is the most common adverse side effect of Novolog. It is essential to look for signs and symptoms of low blood sugar levels. If untreated, it may lead to life-threatening conditions such as seizure, coma and death.
- Do not share your syringe or pre-filled pen with others, even if the needle is changed, as it may cause infection to spread from one person to another.
- All insulins, including Novolog, should not be taken alongside certain antidiabetic medications belonging to the class of drugs known as thiazolidinediones, as it may increase your risk of heart failure. If you’ve already had heart failure, this may make your condition worse.
- Novolog may cause severe allergic reactions in some people. Discontinue the medication and seek medical assistance if you face symptoms such as itching, rash, swelling, trouble breathing, dizziness and confusion.
- All insulin products may cause changes in potassium levels in the body.
- To prevent accidental mix-ups of the insulin, patients should ensure that they have the correct type and dose of the insulin.
What Are the NovoLog Precautions?
There are some precautions that you should take into consideration when starting treatment with Novolog. Before using this medication, you should share your complete medical & family history with your doctor, especially if you have conditions related to the heart, liver, and kidney. You should also tell them about all the medications you use. Other precautions for use include:
- Do not take Novolog if you have severe low blood sugar.
- Before taking this medication, let your doctor know if you are allergic to Novolin, insulin aspart or any other insulin.
- Before taking Novolin, tell your doctor if you think you are pregnant, planning to get pregnant or if you are breastfeeding a baby.
- Before taking Novolin, tell your doctor if you have or have ever had any medical condition and what medication you are using for its treatment. This includes all prescription medication, over-the-counter drugs and herbal supplements that you are taking.
- Tell your doctor about your medical history, especially if you have or ever had a disease related to your kidney, heart or liver.
- While receiving treatment with this medication, it is essential to monitor your blood sugar levels on a regular basis and share your report with your doctor to help them determine the correct dosage for you.
- The dosage of your medication depends on various factors, such as your age, condition, needs, and body’s response to treatment.
- You may need an adjustment in your insulin dose if you gain or lose weight, change your diet or level of physical activity, experience illness or if you are facing increased stress.
- Do not use Novolog if the product is tampered with, broken, or leaking.
- Novolog should be used with caution in patients with hepatic and renal impairment. They may require dosage adjustments and careful monitoring for signs and symptoms of hyperglycemia.
- Do not skip meals or indulge in strenuous physical activity. It may cause hypoglycemia.
What Are the Contraindications of NovoLog?
Novolog is contraindicated for use in patients:
- During episodes of hypoglycemia
- Who have a known hypersensitivity to Novolog, insulin aspart or any of the ingredients present in the medication.
What If You Miss a Dose of NovoLog?
To get the most out of your medication, you should keep consistency in dosage and take the medication around the same time daily. If you have missed a dose of Novolog, follow the instructions given below:
- You should take Novolog 5 to 10 minutes before a meal.
- If you missed a dose of Novolog, take it as soon as you remember.
- However, if it is almost time for your next dose, you may skip the missed dose and take the next dose as per your dosing schedule.
- Do not take two doses of the same medication to compensate for the missed dose.
- If you forget to take Novolog before your meal, you may take it while having your meal.
- Check your blood glucose levels if you remember to take your dose after finishing your meal.
- If it is satisfactory, you can skip the missed dose, but if it is high, take it as soon as possible.
- If you still cannot determine when to take your next dose, contact your doctor or healthcare provider for guidance.
- You can try setting a reminder on your phone to avoid missing doses.
- If you often miss your medication dose, you should talk to your doctor, and they will help you determine how to remember to take it.
[Note: If you have missed a medication dose and are unsure when to take the next one, immediately consult your doctor or pharmacist.]
What Happens If You Take Too Much of NovoLog?
You should not use NovoLog more than the prescribed dose, in large quantities or more often than instructed, as it can cause an insulin overdose. If you take Novolog more than recommended, it may result in hypoglycemia and hypokalemia. Mild episodes of hypoglycemia can be treated by taking oral glucose. Patients may also require adjustments in dosage, exercise and meal patterns. More adverse episodes of hypoglycemia, such as coma, seizures, or neurological impairment, may be treated with glucagon. Hypokalemia must be adequately treated to prevent life-threatening conditions. If you suspect a NovoLog overdose, seek immediate medical assistance even if you do not have severe symptoms. You can call 911 or your doctor. You can also head to the nearest hospital if you experience severe symptoms such as passing out or blurred vision.
[Note: If you consumed more than the recommended dose, get medical help immediately or call the Poison Help line at 1-800-222-1222.]
How to Store NovoLog?
Following proper storage guidelines is essential to maintain its safety and effectiveness. Unused Novolog can be kept in the refrigerator, and once opened, you should keep it at a safe temperature and away from direct exposure to sunlight, moisture, and heat. Other guidelines for proper storage and disposal of Novolog include:
- Unopened Novolog may be stored in the refrigerator for up to its expiration date.
- Unopened Novolog may be suitable for 28 days when kept at room temperature.
- Opened Novolog pens should be kept at average room temperature in a dark place away from excess heat, direct sunlight and moisture.
- Do not keep it in the bathroom or along with other medications.
- In-use vials may be kept at room temperature or continue storing it in the refrigerator.
- Keep all insulins, including Novolog, in a safe place, away from the sight and reach of children.
- Do not keep medications that are no longer needed or outdated. Discard them safely.
- Do not flush down the medication or throw it in wastewater or your garbage bin unless instructed by your healthcare provider.
- Dispose of the injectable pens, cartridges, syringes and needles in a sharps container.
- If you do not have a sharps container, you can use a container made of hard plastic and a tightly fitting lid.
- For more information on the safe disposal of the medication, you can contact your healthcare provider or local waste disposal company.
[Note: Discuss with your healthcare professional the proper disposal of unused medicine and any questions you may have regarding its storage.]
What Medications Interact with NovoLog?
Certain medications may interact with NovoLog and reduce its effectiveness, increase unwanted side effects, or make them more severe. Before using this medication, you should tell your physician or medical provider about all the medications you are using or plan to use alongside Novorapid, including all prescription, non-prescription, and over-the-counter drugs, herbs, and vitamin supplements. This information helps you & your doctor identify and manage potential Novolog interactions. You should also know about all the ingredients present in the medication. If you are not aware of all the active or inactive ingredients present in the medicine, ask your doctor. Some of the potential interactions of NovoLog may include:
- Drugs that can affect how well this medication works to improve glycemic control in individuals with type 1 or type 2 diabetes:
- Lithium (medication used to treat mental health conditions)
- Clonidine (antihypertensive)
- Beta-blockers such as metoprolol, bisoprolol, and propranolol.
- Medications that can make Novolog less effective in decreasing blood sugar levels.
- Birth control medications
- Diuretics, such as chlorthalidone, hydrochlorothiazide and indapamide
- Atypical antipsychotics used to treat schizophrenia, including clozapine, olanzapine, and risperidone.
- Corticosteroids such as dexamethasone, prednisone, and methylprednisolone.
- Drugs that can increase your chance of hypoglycemia
- Fibrates such as fenofibrate
- ARBs are used to treat high BP & heart failure. These include valsartan and losartan.
- ACE inhibitors, including telmisartan, lisinopril, benazepril, and enalapril.
- Other antidiabetic medications including metformin, sitagliptin, and glimepiride.
- Medicines that can mask the signs & symptoms of hypoglycemia such as:
- Reserpine
- Clonidine
- Beta-blockers such as bisoprolol, metoprolol, and propranolol.
- Medications that can increase your chance of developing unwanted side effects due to Novolog use
- Thiazolidinediones are a class of medications used to treat diabetes, including rosiglitazone and pioglitazone.
- Medications used to reduce potassium levels such as diuretics, including hydrochlorothiazide, indapamide, and chlorthalidone.
[Note: This isn’t a complete list, and there could be other drugs that interact with Novolog. Tell your doctor about prescription, over-the-counter medicines, and herbal products.]
What Are the Other NovoLog Interactions?
Apart from medications, certain herbs, supplements, foods, and beverages may interact with NovoLog and affect how it works. To identify and manage such interactions, talk to your doctor, and they will help you identify and manage them. Your doctor may recommend you make certain dietary and lifestyle changes while receiving treatment with this medication. There are also certain disease interactions of Novorapid, namely:
- Renal disease
- Liver problem
- Hypokalemia
- Hypoglycemia
- Heart disease
What Are the NovoLog Alternatives?
While NovoLog is an effective medication used to manage levels of blood sugar in individuals with type 1 or 2 diabetes, it can cause undesirable side effects or fail to provide desirable results in some users. In such cases, people look for alternatives to NovoLog. While there are many alternatives to this medication available on the market, you should not use them without consulting your doctor. Based on your medical condition, needs, and other factors, your doctor will help you decide the medication that works best for you. Some of the alternatives include:
- Fiasp (insulin aspart)
- Apidra ( insulin glulisine)
- Humalog (insulin lispro)
- Afrezza (inhaled insulin human)
- Humulin R (insulin regular)
- Humulin N (insulin NPH)
- Novolin R (insulin regular)
- Novolin N (insulin NPH)
- Toujeo (insulin glargine)
- Lantus (insulin glargine)
- Basaglar (insulin glargine)
- Tresiba (insulin degludec)
[Note: Your doctor will choose what’s best for you. Don’t use any of these alternative medications without consulting your healthcare provider. Taking them by yourself may cause serious side effects.]
NovoLog Cost & Coupons
NovoLog, a rapid-acting insulin used to manage diabetes, is also known by its generic name, insulin aspart. NovoLog helps many patients maintain their blood sugar levels effectively. However, it is important to note that health insurance coverage and the pharmacy from which they choose to buy Novolog insulin online can significantly impact the price of Novolog insulin. For those whose insurance does not fully cover the cost, online pharmacies like Polar Bear Meds offer the Novolog coupon to buy it from Canada, providing a more affordable alternative for U.S. customers. To further reduce the out-of-pocket expenses, Polar Bear Meds offers a discount coupon for Novolog flexpen for first-time buyers, WELCOMEPB10, granting a 10% discount on the first order.
Frequently Asked Questions
How many units of NovoLog do you take?
The dosage of NovoLog is highly individualised and varies based on factors such as levels of blood sugar, age, needs, and other factors. The usual initial dose is four units per meal for type 2 diabetes, but it can be adjusted by your healthcare provider to best meet your needs.
How soon does a dose of NovoLog insulin start to work?
After being injected, Novolog insulin usually starts to work within 5 to 10 minutes, and its best effect is usually between 45 and 90 minutes. Because of this, it is a good choice for controlling blood sugar before or after a meal.
Can other insulins be mixed with NovoLog?
You shouldn’t mix NovoLog with other insulins unless your doctor tells you to. It is made to be used by itself, and mixing it with other insulins could change how well it works and how it works. Before making any changes to your insulin schedule, you should always talk to your healthcare team first.
What is the best way to store NovoLog insulin?
NovoLog insulin pens should be kept in a refrigerator between 36 to 46 degrees Fahrenheit (2 and 8 degrees Celsius). They can be kept at room temperature (below 86°F or 30°C) for up to 28 days after they have been used. Don’t put them in settings that are too hot or too cold, and keep them out of direct sunlight.
What should I do if I forget to take my NovoLog dose?
If you forget to take your NovoLog dose, take it as soon as you remember, and then go back to your normal routine. But if it’s almost time for your next dose, skip the one you missed and go back to your regular routine. Do not take two doses at once to make up for one you missed.
Our Guarantee
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